Individual
KENDALL TIARA JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICENSED MASSAGE THE
Contact information
Practice address
301 E RESERVOIR AVE, MILWAUKEE, WI 53212-3743
(414) 573-4356
Mailing address
PO BOX 511843, MILWAUKEE, WI 53203-0311
(414) 573-4356
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
4427-146
WI
Other
Enumeration date
10/07/2019
Last updated
10/07/2019
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